Healthcare Provider Details
I. General information
NPI: 1790780237
Provider Name (Legal Business Name): BUTLER COUNTY HEALTH CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/20/2005
Last Update Date: 09/29/2021
Certification Date: 09/29/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
372 S 9TH ST
DAVID CITY NE
68632-2116
US
IV. Provider business mailing address
372 S 9TH ST
DAVID CITY NE
68632-2116
US
V. Phone/Fax
- Phone: 402-367-1200
- Fax: 402-367-1350
- Phone: 402-367-1200
- Fax: 402-367-1350
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282NC0060X |
| Taxonomy | Critical Access Hospital |
| License Number | 090001 |
| License Number State | NE |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DONALD
T
NAIBERK
Title or Position: ADMINISTRATOR
Credential:
Phone: 402-367-1200